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HOME OF PELICAN ISLAND
Certificate No. 2117
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Certificate of Interment Rights
IN ACCORDANCE with provisions of the Code of Ordinances of the City of Sebastian,
it is hereby certified that:
Michael J. Gillespie
(name)
305 Georgia Boulevard, Sebastian, FL 32958
(address)
in and for consideration of the sum of $1,050.00 is entitled to full interment rights in
the Sebastian Municipal Cemetery for the following lot:
Unit 4_ Block _13_ Lots_ 31a, 32a & 33a_
of the Sebastian Municipal Cemetery,
as maintained on file in the records of the City Clerk
for use in accordance with the conditions, ordinances, resolutions, rules and regulations
prescribed therefore by the City of Sebastian.
CONVEYED THIS 2nd day of March, 2007.
CITY OF SEBA,STIAN, FLORIDA
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Sal A. Maio, MMC
' City Clerk
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HOME OF PEUUN 15tANla
Burial rights in the Sebastian Municipal Cemetery lots/niches purchased by me
(Please print name and address oT pi�rchaser�
(�n�f �i . 13lock 13
(Lot/niche, b{ock, unit description)
are intended for interment of the following individuals:
Ptease print name(s):
�31-A) /j�1}� � I
I I! i f 11�i i�' �� �'1 � L
� 32 - �,, �J��n�,s (�► I l �� i � _ _
( 33-A)
Iriterment lots/niches are not to be transferred without written approval of the City of
Sebastian. Interment lots/niches in the Sebastian Municipal Ceinetery are allowed to be
passed on to heits bu1 the City requires a certified copy of relev�int probate or other
court documents.
1 have read and unders Ihe terms of this agreement.
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�Su scribed end� b m �.. efora , me this � �doy of _. _ �l� Dy
� who Is y�ers� orfelry known Io me, O! hA3 produeed
r as Identificetl�n.
Nolary Public, State of orida
N�mec oi IMerteO torm
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���tpN1' PVer DONNA F. GARDNEH
_'r°• .`�= Notary Public - State of Florida
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's' + .•= My Comm. Ezpires Mar 19, 2016
=,�.F �°; Commission � EE 18084t
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